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  1. Medical Information Right
  2. Can OLUMIANT® (baricitinib) dose be reduced in pediatric alopecia areata while maintaining treatment response?
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Olumiant® (baricitinib) tablets

1mg, 2mg, 4mg
Full Prescribing Information

baricitinib

1mg, 2mg, 4mg

HCP Fact Sheet | Patient & Caregiver Fact Sheet | FDA Authorization Letter

Olumiant® (baricitinib) tablets

1mg, 2mg, 4mg
Full Prescribing Information

baricitinib

1mg, 2mg, 4mg

HCP Fact Sheet | Patient & Caregiver Fact Sheet | FDA Authorization Letter

This information is provided in response to your request. Resources may contain information about doses, uses, formulations and populations different from product labeling. See Prescribing Information above, if applicable.

Can OLUMIANT® (baricitinib) dose be reduced in pediatric alopecia areata while maintaining treatment response?

A downtitration substudy has not been performed in pediatric patients with alopecia areata to evaluate the effect of dose reduction on maintenance of treatment response.

US_cFAQ_BAR416C_DOWNTITRATION_EFFICACY_AA_PEDS_v1.1

See important safety information, including boxed warning, in the attached prescribing information.

What clinical trial evidence is available on baricitinib dose reduction in pediatric alopecia areata?

No subgroup analysis has been conducted to evaluate the effect of baricitinib dose reduction on treatment response in the BRAVE-AA-PEDS clinical trial.1

The efficacy of downtitration in adult patients who achieved an adequate response was evaluated in the BRAVE-AA2 downtitration substudy.2,3

Clinical decisions regarding continuation, downtitration, interruption, or reinitiation of baricitinib therapy in pediatric alopecia areata should be based on the treating clinician’s judgment, taking into account disease severity, treatment response, and the overall benefit-risk profile for the patient.

Enclosed Prescribing Information

OLUMIANT® (baricitinib) tablets, for oral use, Lilly

References

The published reference below is available by contacting 1-800-LillyRx (1-800-545-5979).

  1. Data on file, Eli Lilly and Company and/or one of its subsidiaries.
  2. King B, Ohyama M, Senna M, et al. Outcomes of down-titration in patients with severe scalp alopecia areata initially treated with baricitinib 4-mg: week 152 data from BRAVE-AA2. J Am Acad Dermatol. 2025;92(2):299-306. https://doi.org/10.1016/j.jaad.2024.09.072
  3. Olumiant [package insert]. Indianapolis, IN: Eli Lilly and Company; 2026.

Date of Last Review: September 28, 2026

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